MISS Andrea Lynn Dominick, LPCC-S, LICDC

NPI #1235266743 in Dover, Ohio

Provider Information

NPI Number: 1235266743
Entity Type: Individual
Name: MISS Andrea Lynn Dominick, LPCC-S, LICDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPCC-S, LICDC
Enumeration Date: Feb 28, 2007
Last Updated: May 20, 2020

Practice Location

Address: 205 HOSPITAL DR
City: Dover
State: Ohio
ZIP Code: 44622-2058
Phone: (330) 343-7950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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